Individual
MICHELLE DANIELLE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3804 PANTHER PATH, TIMMONSVILLE, SC 29161-9563
(843) 601-0684
Mailing address
3804 PANTHER PATH, TIMMONSVILLE, SC 29161-9563
(843) 601-0684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2016
Last updated
08/27/2023
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